Mrs Raeleen Nicole Davis, MA, LPC in Clarkston, MI

Mrs Raeleen Nicole Davis, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Clarkston, Michigan. Her current practice location is 7640 Dixie Hwy Ste 155, Clarkston, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 791-9266.

Mrs Raeleen Nicole Davis is licensed to practice in Michigan (license number 6401014995) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730555459.

Contact Information

	Mrs Raeleen Nicole Davis, MA, LPC
	7640 Dixie Hwy Ste 155, Clarkston, MI 48346-2095
	(248) 791-9266
	(248) 392-2601

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Raeleen Nicole Davis
Gender	Female
Speciality	Counselor - Professional
Location	7640 Dixie Hwy Ste 155, Clarkston, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730555459
Provider Enumeration Date: 08/17/2015
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7113377284
Enrollment ID: I20240102002436

Medical Identifiers

Medical identifiers for Mrs Raeleen Nicole Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730555459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014995 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Raeleen Nicole Davis allows following entities to bill medicare on her behalf.

Entity Name	Innovations By Gomes Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881389906 PECOS PAC ID: 0446613665 Enrollment ID: O20230905003299

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Raeleen Nicole Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Raeleen Nicole Davis, MA, LPC 4095 Bold Mdws, Oakland Township, MI 48306-1488 Ph: (248) 805-1312	Mrs Raeleen Nicole Davis, MA, LPC 7640 Dixie Hwy Ste 155, Clarkston, MI 48346-2095 Ph: (248) 791-9266

Reviews and Comments

Counselor in Clarkston, MI

Scott A Hall, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5869 Dixie Hwy, Clarkston, MI 48346 Phone: 248-909-1869 Fax: 248-605-8599
Mackenzie Michael Crandall, LLPC, MA, TLLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5980 S Main St Ste 101, Clarkston, MI 48346 Phone: 248-625-2970
Nicole Harty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7640 Dixie Hwy Ste 155, Clarkston, MI 48346 Phone: 248-791-9266
Mrs. Rebecca Sue Walker, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 Sashabaw Rd, Clarkston, MI 48348 Phone: 810-348-4853
Allison Ann Irving, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6851 Clintonville Rd, Clarkston, MI 48348 Phone: 313-268-4276
Ms. Kaura H. Africa, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970
Ms. Marie Anna Megahan, M.A. IN COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970

Mrs Raeleen Nicole Davis, MA, LPC - Medicare Counselor in Clarkston, MI